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NPI Code Detail

MEDICARE: JENNIFER LYNN JAKUBISIN

MEDICARE: JENNIFER LYNN JAKUBISIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training AgencyOH

General Provider Information

NPI Number : 1548023757
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN JAKUBISIN
Provider Business Mailing Address
First Line : 10372 MITCHELL RD
Second Line :
City : COLUMBIA STATION
State : OH
Zip : 44028-9562
Country : US
Telephone Number : 216-978-4652
Fax Number :
Provider Business Practice Location Address
First Line : 6745 STEARNS RD
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-5014
Country : US
Telephone Number : 216-978-4652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2024
Last Update Date : 01/31/2024

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Directions to “ JENNIFER LYNN JAKUBISIN ” Practice Location

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